altRX vs Precision Telemed
altRX and Precision Telemed both sell semaglutide and tirzepatide; this is how their prices, coverage and records differ.
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Precision Telemed
Best for: coverage in all 50 states, which most sellers will not confirm
Visit Precision Telemed →If you are choosing between altRX and Precision Telemed, price alone will not settle it. Both prescribe semaglutide and tirzepatide, so moving from one to the other would not change your drug. Precision Telemed leads our six-part score, 8.0 to 7.6. One of the two has an FDA warning letter on record, covered below.
altRX vs Precision Telemed price
altRX and Precision Telemed start at the same figure, $149 a month, so the entry price does not separate them. Look at what each price covers and at the per-drug prices below.
Drug by drug: Semaglutide costs the same at both, $149 a month; tirzepatide is cheaper at Precision Telemed ($199 a month vs $249 a month).
Medications and formats
Both sell semaglutide and tirzepatide.
On format, altRX prices compounded injections and brand-name pens, while Precision Telemed prices compounded injections.
If you want the FDA-approved brand rather than a compounded version, altRX is the only one of the two with a brand-name price.
Where each one treats patients
altRX lists 50 states, and Precision Telemed lists 50 states.
They overlap in 50 states.
Pricing
altRX
Precision Telemed
What each price covers
Both prices cover the medication itself and shipping.
altRX's price also covers the clinician visit, which Precision Telemed does not claim.
altRX is silent on lab work and coaching.
Precision Telemed is silent on the clinician visit, lab work and coaching.
altRX
Covered by the monthly price
Medication
In the price
Clinician visits
In the price
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Precision Telemed
Covered by the monthly price
Medication
In the price
Clinician visits
Not stated
Shipping
In the price
Lab work
Not stated
Coaching
Not stated
Where each one scores higher
Overall, Precision Telemed scores 8.0 and altRX 7.6 out of 10.
altRX is stronger on user experience (8.0 vs 7.5) and support (7.0 vs 4.5).
Precision Telemed is stronger on value (6.6 vs 5.0) and trust & safety (8.5 vs 6.0).
Effectiveness and accessibility are within half a point.
altRX
7.6/10
Precision Telemed
8.0/10
Value25%
Effectiveness25%
User Experience15%
Trust & Safety15%
Accessibility10%
Support10%
FDA warning letters
The FDA sent altRX a warning letter dated June 8, 2026 (letter 728236), and it is still open.
Precision Telemed has no FDA warning letter on record with us.
Features & Coverage
| Feature | altRX | Precision Telemed |
|---|---|---|
| Starting Price | $149/mo | $149/mo |
| Features | ✓8 features | 5 features |
| States Available | 50 | 50 |
| Compounded | ✓ Yes | ✓ Yes |
| Brand Name | ✓ Yes | — |
| FSA/HSA Accepted | — | — |
| FDA Warning Letters | 1 letter | ✓None |
About altRX
Compounded plans open at $149 for semaglutide and $249 for tirzepatide. Branded medication runs $1,149-$1,579, a figure that already contains the consult and the shipping. Every one of the four FDA-approved brands is stocked, Mounjaro, Ozempic, Wegovy and Zepbound, which no other entry in our directory matches. altRX works in both modalities, holds LegitScript certification, and prints the FDA compounded-medication disclaimer.
Read our full altRX review →About Precision Telemed
Precision Telemed (Precision Health Digital LLC) sells compounded semaglutide at $149/mo and compounded tirzepatide at $199/mo, month-to-month, with no subscription required. LegitScript certified, available in all 50 states. Every medication ships with a Certificate of Analysis confirming potency and purity.
Read our full Precision Telemed review →Pros & Cons
altRX
What we like
- Tirzepatide costs $1249 a month, close to the $1249 median for brand-name tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price includes the medication, clinician visits and shipping
- Serves all 50 states
- Names 4 pharmacies that fill its prescriptions, which most sellers do not
Watch-outs
- Semaglutide costs $1149 a month, 15% above the $997 median for brand-name semaglutide across the sellers we compare
- The FDA has issued altRX a warning letter. Read what it alleges: a letter flags a problem but does not by itself rule a seller out
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Precision Telemed
What we like
- Semaglutide costs $149 a month, 19% below the $185 median for compounded semaglutide across the sellers we compare
- Tirzepatide costs $199 a month, 20% below the $250 median for compounded tirzepatide across the sellers we compare
- Shows its price before the medical questionnaire, so you can compare it without handing over health information
- The monthly price stays the same as your dose goes up
- The monthly price includes the medication and shipping
- Serves all 50 states
- We found no FDA warning letters issued to Precision Telemed
- A live video visit with a clinician is required before a prescription, which is slower than a form and is the more careful intake
Watch-outs
- Ask which pharmacy fills the prescription before you pay, so you can check its license
- Its semaglutide and tirzepatide are compounded rather than FDA-approved, so they have not been reviewed by the agency for safety, effectiveness or manufacturing quality
Our Verdict
Precision Telemed wins this one, 8.0 to 7.6, above all for coverage in all 50 states, which most sellers will not confirm. altRX fits better if semaglutide from $1149/month is your priority.
Choose altRX if…
You want semaglutide from $1149/month and an opening price near $149 a month.
Choose Precision Telemed if…
You want coverage in all 50 states, which most sellers will not confirm and an opening price near $149 a month.
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Enhance MD
Knowing which pharmacy fills the vial: it names Tru Meds Rx
From $169/mo
Get started →DudeMeds
Compounded semaglutide at $175/month
From $175/mo
Get started →Oak
Semaglutide at $119/month, 37% below the typical price
From $119/mo
Get started →altRX vs Precision Telemed: FAQ
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Novo Nordisk A/S owns the Wegovy®, Ozempic® and Rybelsus® marks; Eli Lilly and Company owns Mounjaro® and Zepbound®. Every other product name and mark on this page belongs to whoever owns it. No pharmaceutical manufacturer is affiliated with GLP Watchdog. See trademark disclaimer.